PRESENTATION

PITYRIASIS ROSEA
BY
Hariady Salam
Didik Kurniawan
Ahmad Afif Kurniawan
ADVISOR
dr. Sariwana
SUPERVISOR
DR.dr.Anni Andriany, Sp.KK
Medical Faculty
University Of Hasanuddin

PITYRIASIS ROSEA

DEFINITION

Originally described by Camille

Melchior Gibert in 1860

Pityriasis: fine scales

Rosea: rose coloured or pink
Benign Self limiting but associated with
increased miscarriage in first 15 wks of
pregnancy

EPIDEMIOLOGY

2 % of OP visits
F>M
Children and young adults (10-35yr)
0.15% prevalence
No racial variation (lesion colour)
Seasonal outbreaks and climatic variation
Institutional outbreaks

ETIOLOGY and PATHOGENESIS

The uncertain cause is UNKNOWN

But PR has been considered to be caused
an infectious agent
From study drago and colleage in 1997,
most recent PR etiologic and
pathogenesis focused on two obiquitos
viruses : 1.HHV type 6, 2.HHV type 7

The resemblance of the rash to known

viral exanthems
Rare recurrences of PR that suggest life
long immunity after one episode
Occurrens of seasonal variation in some
studies
Clusstering in some communities
And the appearance of flu-like symptoms
in a subset of patient

CLINICAL MANIFESTATION

Usually asymptomatics, sometimes pruritic

with flu-like symptoms
The initial lesion is frequently a single, 2-4cm
or bigger round plaque,names as Herald
patch,oval or round(central healing),salmon
coloured,erythematous,or hyperpigmented.
The primary plaque is usually located on the
trunk in areas covered by clothes, but
sometimes it is on the neck or extremitas
Lesion of PR on truncus resemble christmas
tree

TREATMENT

Because Pityriasis Rosea is self-limited,

there is no need treat uncomplied cases.
Patient education and reassurance is
waranted in all cases. Midpotency
topiucal corticosteroids may be used for
symptomatic relief of pruritus.
For all patients, education about the
disease process and reassurance.
For patient with associated pruritus,
topical corticosteroid

TREATMENT

For patients early in the disease course

who demopnstrate associated flu-like
symptoms and/or extensive skin disease,
oral acyclovir 800mg five times daily for
1 week (or equivalent acyclovir
derivative) may hasten recovery from
disease.
For selected patients, phototherapy may
be useful.

COMPLICATION

Patients may experience flu-like

symptoms, but these are relatively mild if
they occur. About one-third of patients
with PR experience significant levels of
anxiety and depression.

PROGNOSIS

All patients with PR have complete

spontaneous of their disease. The
disease duration normally varies between
4 and 10 weeks, with the first few weeks
associated with the most new
inflammatory skin lessions and the
greatest likelihood of flu-like symptoms.

THANK YOU

Secondary Syphilis

Tinea Corporis